Basmah Aref
Dentist, General Practice in Canton, GA. Individual provider (NPI-1).
NPI number1912690165
StatusActive
Last updated in NPPESJul 23, 2024
Details
- NPI
- 1912690165
- Entity type
- Individual (NPI-1)
- Name
- Basmah Aref
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2023
- Certification date
- Jul 23, 2024
- Last updated
- Jul 23, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN123479 | GA | Yes |
Practice location
8701 Knox Bridge HwyCanton, GA 30114-4541
Phone 770-479-3202
Mailing address
255 Shadowbrook DrRoswell, GA 30075-4600
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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